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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Early Morning Head Spin For About 20 Minutes, Then Normal. What Does It Indicate ?

I am from India. I am aged 36. I just experienced early morning head spin for about 20 minutes. I sat down and it became normal. what does it indicate? I go for regular 45 minute walk daily also.
I have no other symptom. I am using BP table ENAM (5mg). Earlier i used to use ACUPIL tablet, but now its not in production. i checked BP couple of days ago and my BP is 120/30. I have no other symptom
Pls. explain if its anything alarming.
Mon, 1 Jul 2013
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be due to postural hypotension.
It occurs due to peripheral pooling of blood in the lower limbs when you get up in the morning.
And as you are taking medications for Hypertension, it acts as an additive factor.

Other causes can be:
1. Any pathology in the Vestibular apparatus in the inner ear, which maintains posture & balance.
2. Any fluctuation in the blood sugar levels.
3. Inadequate hydration status & electrolyte balance of the body.
4. Deficiencies of certain nutrients like Iron, Vitamin B 12, Folic acid, etc. which helps in blood formation & nerve conduction.
5. Hormonal & metabolic causes.
6. Stress, inadequate sleep, etc.

Investigations like complete blood count, estimation of blood sugar levels, CT scan of brain will be helpful to rule out any pathological cause for the symptoms.

And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid fast food.
4. Avoid smoking & alcohol.
5. Keep away stress..think positive.
6. Exercise regularly & practice meditation.

Wishing you a Good Health.
Thanks & take care.
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General & Family Physician Dr. Lohit K's  Response
Hi thanks for using HCM.

Your history suggesth hypotension and rightly your BP is 120/30 mmHg.

1. Check your BP in lying downand then in standing position after 1 min of standing. We can confirm hypotension with this.
2. Since you are not hypertensive now you can stop Tab ENAM after discussing with your doctor.
3. Do Regular exercises and yoga.
4. Avoid getting up suddenly from lying or sitting position.
5. Drink plenty of water.
6. Get complete hemogram, lipid profile once.
Hope this helped you and I answered your question. Wish you good health.

Regards
Dr.Lohit
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Early Morning Head Spin For About 20 Minutes, Then Normal. What Does It Indicate ?

Hello dear, The symptoms as mentioned in your post can be due to postural hypotension. It occurs due to peripheral pooling of blood in the lower limbs when you get up in the morning. And as you are taking medications for Hypertension, it acts as an additive factor. Other causes can be: 1. Any pathology in the Vestibular apparatus in the inner ear, which maintains posture & balance. 2. Any fluctuation in the blood sugar levels. 3. Inadequate hydration status & electrolyte balance of the body. 4. Deficiencies of certain nutrients like Iron, Vitamin B 12, Folic acid, etc. which helps in blood formation & nerve conduction. 5. Hormonal & metabolic causes. 6. Stress, inadequate sleep, etc. Investigations like complete blood count, estimation of blood sugar levels, CT scan of brain will be helpful to rule out any pathological cause for the symptoms. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as: 1. Take soft, plain, non-spicy foods 2. Drink lots of water to maintain adequate hydration 3. Avoid fast food. 4. Avoid smoking & alcohol. 5. Keep away stress..think positive. 6. Exercise regularly & practice meditation. Wishing you a Good Health. Thanks & take care.